Individual
JENNIFER RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
2480 E TOMPKINS AVE STE 100, LAS VEGAS, NV 89121-7394
(725) 724-2005
(877) 418-8013
Mailing address
83 KIND AVE, HENDERSON, NV 89002-3364
(702) 824-7691
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
RN55131
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202203390-NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
238538
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
848206
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G167246
IA
Other
Enumeration date
04/15/2016
Last updated
10/31/2024
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